Individual provider Active NPI

Kristen Lazzell, D.C.

  • Chiropractor
  • Lake Orion, MI
National Provider Identifier
1902340979
Registry record updated Sep 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301010513 Issued in MI
Practice address
4110 S Baldwin Rd
Lake Orion, MI 48359-2102
Phone
(248) 927-2006
NPI assigned
Dec 11, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301010513 MI Primary

Addresses

Primary practice location

4110 S Baldwin Rd
Lake Orion, MI 48359-2102

Mailing address

2612 Wildwood CT Apt 1
Lake Orion, MI 48360-1758
Phone (248) 762-5408

Other practice location 1

4203 Rochester Rd
Royal Oak, MI 48073-2729
Phone (248) 616-1911

Other practice location 2

32000 Woodward Ave
Suite A
Royal Oak, MI 48073-0998
Phone (248) 838-3195

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170816000627 MI Practitioner - Chiropractic 9436421179 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4110 S Baldwin Rd
Lake Orion, MI 48359-2102
Phone (248) 927-2006

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Van Every Family Chiropractic Center PLLC Chiropractor CurrentSince Mar 1, 2021 Accepting new patients
Lazzell Family Chiropractic, LLC Chiropractor CurrentSince Sep 28, 2022 Accepting new patients
Prosper Family Chiropractic Center PLLC Chiropractor PastSince Mar 1, 2021 Accepting new patients

Locations

4110 S Baldwin Rd
Orion, MI 48359
Phone (248) 391-1040

4203 Rochester Rd
Royal Oak, MI 48073
Phone (248) 616-0900

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1481414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663200000000",
    "number": "1902340979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2612 WILDWOOD CT APT 1",
            "city": "LAKE ORION",
            "state": "MI",
            "postal_code": "483601758",
            "telephone_number": "248-762-5408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4110 S BALDWIN RD",
            "city": "LAKE ORION",
            "state": "MI",
            "postal_code": "483592102",
            "telephone_number": "248-927-2006"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4203 Rochester Rd",
            "address_purpose": "LOCATION",
            "city": "Royal Oak",
            "state": "MI",
            "postal_code": "480732729",
            "country_code": "US",
            "telephone_number": "248-616-1911",
            "fax_number": "248-616-1911",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "32000 Woodward Ave",
            "address_2": "Suite A",
            "address_purpose": "LOCATION",
            "city": "Royal Oak",
            "state": "MI",
            "postal_code": "480730998",
            "country_code": "US",
            "telephone_number": "248-838-3195",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAZZELL",
        "first_name": "KRISTEN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-11",
        "last_updated": "2022-09-15",
        "certification_date": "2022-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301010513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Orion, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.